在患有功能性胃肠道疾病的儿童中,急性疾病期间体质症状的严重程度
Rattanachart Sirinil1, Anundorn Wongteerasut1
1Department of Pediatrics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand.
Clinical and experimental pediatrics
|March 14, 2025
概括
患有功能性胃肠道疾病 (FGIDs) 的儿童在急性疾病期间,与健康儿童相比,会出现更严重的体征症状,包括胃肠道和非胃肠道问题.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 症状学研究 症状学研究
- 儿童健康 儿童健康
背景情况:
- 功能性胃肠道疾病 (FGID) 在儿童中很普遍,并与各种胃肠道 (GI) 和非GI症状有关.
- 心理社会和身体压力因素是FGIDs常见的风险因素.
研究的目的:
- 为了比较患有FGID诊断的儿童在急性疾病发作期间体征症状的严重程度与健康对照.
- 研究这两组之间GI和非GI体质症状呈现的差异.
主要方法:
- 一项前性描述性横截面研究招募了93名年龄在4-18岁的儿童.
- 儿童根据罗马IV诊断标准被分为FGID和对照组.
- 用视觉模拟尺度 (VAS) 评估疼痛的体征症状严重程度,用儿童体征症状目录-24 (CSSI-24) 评估体征症状严重程度.
主要成果:
- 与对照组相比,FGID组 (40名儿童) 报告腹痛的VAS得分显著更高 (p<0.001).
- 在FGID组中,CSSI-24得分在总症状 (p<0.001),GI症状 (p≤0.001) 和非GI症状 (p<0.001) 中显著更高.
- 两组之间对恶心 (p=0.493) 或头痛 (p=0.311) 的VAS得分没有发现显著差异.
结论:
- 患有FGID的儿童在急性疾病期间表现出明显更大的身体症状严重程度,而不是他们的健康同龄人.
- 胃肠道和非胃肠道表现在患有FGID的儿童中更为普遍和严重.
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